Wellington Park Nursing Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – This means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question good. At this assessment, the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment were effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Senior staff assessed people’s needs prior to their admission to the service. Pre-admission assessments also captured information on people’s preferences, religion, culture, hobbies and what was important to them. This information helped staff to get to know people and establish positive working relationships.

Following admission, staff reviewed people’s needs regularly and documented any changes in their care plans. Staff used a range of assessment tools when assessing people’s needs to make sure their care and treatment plans were effective. Staff also involved people and their relatives in the assessment process.

The service planned and delivered people’s care and treatment with them, while considering what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Staff assessed people’s eating and drinking needs and involved the relevant healthcare professionals where people had specific dietary requirements. There was a diverse menu, comprising fresh fruits and vegetables, and alternative options were also available. Staff offered people a choice between different meals but some people felt this choice was not consistently given. After raising this issue with the registered manager, they explained how staff considered people’s preferences but also stated they would discuss the issue in the next staff meeting.

We observed a calm atmosphere at lunchtime, including pleasant exchanges among people and staff. People requested drinks, desserts and condiments which staff provided. For people who chose to eat in their rooms, we saw staff supporting them accordingly. People had access to snacks and drinks throughout the day. Feedback from people and relatives included, “The food is lovely; they puree my food for me”, “[Person] enjoys her food and has put on weight” and “[Person] enjoys his food and he does feed himself but they will always assist him if he needs it.”

The service worked well across teams and services to support people. Staff collaborated with other professionals to ensure the care and support provided to people were smooth and effective.

Staff maintained a close working relationship with external professionals, such as tissue viability nurses, physiotherapists, speech and language therapists, diabetic nurses and GPs, and shared information effectively. This coordinated approach ensured people received effective care and treatment, and continuity of care.

A person told us, “A health professional will come to see me.” A visiting healthcare professional told us, “Staff are very good with the residents. They communicate well and are pro-active.”

The service made sure people had access to healthcare when needed. Staff monitored people’s health and escalated concerns promptly.

Staff were quick to notice any deterioration in people’s health and wellbeing and implemented the necessary measures to help people feel better. They supported a resident who had a skin infection to be seen by the GP and the Care Home Assessment Team. The GP had prescribed medicines which staff administered accordingly. Staff also made a referral to the dermatologist and recorded observations and improvement.

Nurses spoke to us about how they monitored symptoms associated with people’s health needs. They knew when to refer people to the GP or contact emergency services. A visiting healthcare professional told us, “Staff escalated issues promptly.” Information on people’s health needs was clearly recorded in their care plans.

The service routinely monitored people’s care and treatment needs to continuously improve them. Staff ensured outcomes for people were positive and consistent, and met their expectations.

Senior staff identified people’s individual clinical needs and created specific care plans which provided information and guidance to the wider staff team. Together with the input from external healthcare professionals, staff were able to monitor people’s progress and take actions when outcomes were not as expected.

The registered manager maintained oversight of the clinical issues affecting people, such as pressure ulcers, urinary tract infections and falls. The registered manager used a system to compare clinical data on a monthly basis and used this information to improve people’s care. Nurses communicated effectively by recording key information or updates regarding people’s clinical needs in a daily handover log.

The service informed people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff asked for people's consent before providing care and treatment. Staff also explained the steps of each task while attending to people’s needs.

Information on people’s mental capacity was included in their care plans. However, for some people who lacked capacity in certain areas, their capacity assessments were not always decision-specific and where people’s representatives had made decisions in their best interest, this was not always clearly recorded. The registered manager acknowledged our feedback and told us they would review people’s care records and make sure they were in line with the principles of the Mental Capacity Act.